United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2011_register executive 2011-09-16 article Part II Rules and Regulations D09002ee1c7ff4ada D09002ee1c7ff4bd6 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule implements section 6411 of the Patient Protection and Affordable Care Act (the Affordable Care Act), and provides guidance to States related to Federal/State funding of State start-up, operation and maintenance costs of Medicaid Recovery Audit Contractors (Medicaid RACs) and the payment methodology for State payments to Medicaid RACs. This rule also directs States to assure that adequate appeal processes are in place for providers to dispute adverse determinations made by Medicaid RACs. Lastly, the rule directs States to coordinate with other contractors and entities auditing Medicaid providers and with State and Federal law enforcement agencies. 76 FR 57808 https://www.govinfo.gov/app/details/FR-2011-09-16/2011-23695 2011-23695 fr16se11-25 RIN 0938-AQ19 4120-01-P CMS-6034-F https://www.govinfo.gov/app/details/FR-2011-09-16/2011-23695 https://www.govinfo.gov/content/pkg/FR-2011-09-16/html/2011-23695.htm https://www.govinfo.gov/content/pkg/FR-2011-09-16/pdf/2011-23695.pdf Fraud Grant Programs-Health Health Facilities Health Professions Investigations Medicaid Reporting and Recordkeeping Requirements 37 p. 57808 57844 76 FR 57808 Title 42 Part 455 42 CFR Part 455 RIN 0938-AQ19 Medicaid Program; Recovery Audit Contractors; Federal Register Vol. 76, Issue RULE 2011-23695 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2012-01-01 CMS-6034-F 4120-01-P 2011-23695 Final rule.

This final rule implements section 6411 of the Patient Protection and Affordable Care Act (the Affordable Care Act), and provides guidance to States related to Federal/State funding of State start-up, operation and maintenance costs of Medicaid Recovery Audit Contractors (Medicaid RACs) and the payment methodology for State payments to Medicaid RACs. This rule also directs States to assure that adequate appeal processes are in place for providers to dispute adverse determinations made by Medicaid RACs. Lastly, the rule directs States to coordinate with other contractors and entities auditing Medicaid providers and with State and Federal law enforcement agencies.

Effective Date: These regulations are effective on January 1, 2012. Joanne Davis, (410) 786-5127. Fraud Grant Programs-Health Health Facilities Health Professions Investigations Medicaid Reporting and Recordkeeping Requirements Medicaid Program; Recovery Audit Contractors , OIRA_submission@omb.eopage.gov http://www.whitehouse.gov/omb/circulars_a004_a-4 Vol. 76, no. 180 Office of the Federal Register, National Archives and Records Administration 2011-09-16 continuing daily deposited born digital 281 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2011-09-16 P0b002ee180e09542 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr16se11 https://www.govinfo.gov/app/details/FR-2011-09-16 https://www.govinfo.gov/content/pkg/FR-2011-09-16/pdf/FR-2011-09-16.pdf https://www.govinfo.gov/content/pkg/FR-2011-09-16/xml/FR-2011-09-16.xml fdlp 57625 57896 DGPO 2011-09-16 2024-06-04 FR-2011-09-16 machine generated eng FR FR-2011-09-16 76 180